Individual
AMINA PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
30 WARREN ST SE, ATLANTA, GA 30317-2267
(404) 373-6614
Mailing address
1077R GLENDALE DR, EAST POINT, GA 30344-2820
(404) 409-4500
(404) 766-3589
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LPC004768
GA
103T00000X
Psychologist
Primary
PSY003528
GA
Other
Enumeration date
12/15/2006
Last updated
03/17/2018
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